HomeMy WebLinkAboutPlg Permit 04-0392
r.
Date Rec'd
ell i OF PRIOR LAKE PLUMBING PEAA111
5. ~. 04-
I. BJu. File I PERMIT NO
~ ~Iow f;:,icon, . tJ4-. 0 s 92-
(Please ~ orDrint and sig atlt. .,..m)
ADDRESS ZONING (office use)
/73"t.5 ~~~c,o Gc,tood ~ (/J (!)tvy-f
~EGAL DESCRu- uoJ (oftice use o Illy)
LOT.7BLOCK 1./ ADDmGwN ~'dceLuDod es--ft{+es Qd
I
PLICANT PLEASE COMPLETE BElLOW
Typ of Fixture Quantity
Bath Tul) with or ithout shower
Dishwas her
Floor Dr ain ~I
Lavatory (Bathroo Sink)
Laundry Tray (I 0 2 compartment sink
I Shower Stall II
I Sinks I[
I Bar Sink i[
I Water closet (TOill)
Building Pennit # CJ+. 0392-
~ 9. 'J'O
.50
40. oJ
O~R !I
(Name) W d L A I "'1. ~ 4. cc> 'oe I
(Address)
APPUCANT
(Name)
CUlJ..lhAN WATER CONDITIONING
j11Q3Q CULLIGAN WKi
M NNETONKA, MN 55345
(Addres) ,852) 833..,zuu
I
(Address)
(Contact Person)
r.,PUCANT SIGNATURE
Quantity
I
FEE SCHEDULE
Industrial. Commercial & ~ulti.family 1% of job cost with a $39.50 minimum
:stimated (:ost $ fl()() r ~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~mce t:se Only)
, 'his Application Becom~s Your Bnilding Permit When Approved
$
$
$
Building Official
Date
PID 2.5. z,.'14--. 03z.. 0
(phone)
(phone)
(City)
(Zip Code)
(phone)
.- -. --DATE-
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Paid
tf-t; ,00
Date 6:.!J-; 04.--
Receipt NO'4 {, 9~4-
8Y~
/
24 ~our notice for all inspections (952) 447-9850, fax (952) 447-4245
, 16200 Eagle Creek A,.e., S.E., Prior Lake, MN 55372-1714
,
I
,
I
CITY OF PRIOR ~.AKE
INSP~CTION NOtICE
DATE TIllE
?hfty
/?' \'"J:r- ;It f' ~a./ c/"
CONTR.
PERMIT NO. ~-2?.2
SCHEDULED
ADD~ESS
OWNER
PHOflE NO.
o F~TING 0 PLUMBING RI
o F UNDA TION 0 MECH RI
o F MING 0 WATER HOOKUP
o IN ULATION ~R HOOKUP
o FII IAL ~ !:':~BING FINAL
o Sr"E INSPECT ON 0 MECH FINAL
COMMEN..TS~. IJ.~ \' /J /
~~ /er VO 7' //1 er
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"
-. /
r 1/('
C/(
~.
WORK SA TISF .ACTORY, PROCEED
o Cl )RRECT AC. nON AND PROCEED
o ofRRECT ~ '::LcjbR REINSPECTlON BEFORE COVERING
Insptlctor: ---1(/.(1--' Owner/Contr:
iCALL 447.J850 ;OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQblREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl